Willingness to Undergo Joint Surgery Following a First‐Line Intervention for Osteoarthritis: Data From the Better Management of People With Osteoarthritis Register
| Autor: | Anna Cronström, Leif Dahlberg, Andrea Dell'Isola, Ola Rolfson, Martin Englund, T. Jönsson |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Health Knowledge Attitudes Practice medicine.medical_specialty Time Factors First line Fear of movement Walking Osteoarthritis Severity of Illness Index Arthroplasty Disability Evaluation 03 medical and health sciences 0302 clinical medicine Rheumatology Intervention (counseling) medicine Humans Registries Mobility Limitation Sjukgymnastik Physiotherapy Aged Pain Measurement Sweden 030203 arthritis & rheumatology Joint surgery business.industry Fear Middle Aged Patient Acceptance of Health Care medicine.disease Arthralgia Self Efficacy Treatment Outcome Register data Physical therapy Female Joints Original Article Observational study business |
| Zdroj: | Arthritis Care & Research |
| ISSN: | 2151-4658 2151-464X |
| Popis: | Objective To assess the proportion of participants reconsidering their willingness to undergo surgery after 3 and 12 months. Secondary aims were to analyze and compare the characteristics of individuals willing and unwilling to undergo joint surgery for osteoarthritis (OA) before a first‐line intervention, and to study the association between pain intensity, walking difficulties, self‐efficacy, and fear of movement with the willingness to undergo surgery. Methods This was an observational study based on Swedish register data. We included 30,578 individuals with knee or hip OA who participated in a first‐line intervention including education and exercise. Results Individuals willing to undergo surgery at baseline showed a higher proportion of men (40% versus 27%) and more severe symptoms and disability. Respectively, 45% and 30% of the individuals with knee and hip OA who were willing to undergo surgery at baseline became unwilling after the intervention. At the end of the study period (12 months), 35% and 19% of those with knee and hip OA, respectively, who were willing to undergo surgery at baseline became unwilling. High pain intensity, walking difficulties, and fear of movement were associated with higher odds of being willing to undergo surgery at both follow‐ups, while increased self‐efficacy showed the opposite association. Conclusion A first‐line intervention for OA is associated with reduced willingness to undergo surgery, with a greater proportion among patients with knee OA than hip OA. Due to its temporal variability, willingness to undergo surgery should be used with care to deem surgery eligibility. |
| Databáze: | OpenAIRE |
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